Author(s)

Youssouf Sogoba¹, Drissa Kanikomo¹, Boubacar Sogoba¹, Djenè Kourouma¹, Oumar Coulibaly², Issa Amadou³, Seybou Hassane Diallo⁴, Moustapha Mangané⁵, Hamidou Almeimoune Maiga⁵, Madani Thierno Diop⁵, Belco Maiga⁶, Leonie Diakité⁶, Fousseyni Traoré⁶, Youssoufa Maiga⁴, Yacaria Coulibaly³, Broulaye Samaké⁵, Djibo M. Diango⁵

¹Department of Neurosurgery, Hôpital Gabriel Touré, Bamako, Mali.
²Department of Neurosurgery, Hôpital du Mali, Bamako, Mali.
³Department of Pediatric Surgery, Hôpital Gabriel Touré, Bamako, Mali.
⁴Department of Neurology, Hôpital Gabriel Touré, Bamako, Mali.
⁵Department of Anesthesiology and ICU, Hôpital Gabriel Touré, Bamako, Mali.
⁶Department of Pediatrics, Hôpital Gabriel Touré, Bamako, Mali.

Background: Encephaloceles are congenital neural tube defects characterized by the protrusion of meninges and/or brain tissue from a defect in the skull. The incidence of the disease is about 0.8 - 5.6/10,000 live births. They are classified based on the location and type of skull defect as occipital encephalocele, encephalocele of the cranial vault, frontoethmoidal encephalocele, and basal encephaloceles. Surgical reduction being the first line treatment and resection of herniated structures may be necessary when the encephalocele is large. In the present study, the authors present their experience in treating 17 patients with encephaloceles. Methods: This study is a retrospective analysis of 17 patients from January 2013 to December 2016 in Gabriel Touré Hospital, Bamako, Mali. A history was obtained from the family at presentation. Medical information before and during the pregnancy was compiled. All patients underwent CT scan as a routine preoperative imaging study, to evaluate the encephalocele and to plan the surgical procedure. The following data were recorded for analysis: age, sex, location of encephalocele, neurological status, operative method, postoperative complications and surgical results. Results: There were 10 (58.8%) female and 7 (41.2%) male patients. The patients ranged in age from 3 days to 36 months. The most common site of encephalocele sac was the occipital region in 14 (82.4%) cases followed by the frontal region in 2 (11.8%) cases and the vertex in 1 (5.9%) case. The sac size was less than 3 cm in 5 (17.6%) cases, 3 - 5 cm in 8 (47.1%) cases and more than 5 cm in 4 (23.5%) cases. Three (17.6%) children presented with CSF leakage. Hydrocephalus was present in the preoperative period in 6 (35.3%) cases; all of them required VP shunt procedure. None of the cases had a preoperative neurologic deficit. Surgical excision was performed in all cases. In the postoperative period, meningitis developed in 2 cases (11.8%), wound infection in 1 case (5.9%) and seizure in 1 case (5.9%). Three patients (17.6%) died during postoperative follow-up. Postoperative hydrocephalus occurred in 1 (5.88%) patient requiring a VP shunt. Conclusion: Encephaloceles are commonly seen in the practice of neurosurgery in the world as well as in Mali. In this study, the clinical manifestations and surgical results of 17 cases have been reviewed. We recommend early repair and excision of encephaloceles to avoid rupture or skin excoriation.

Encephalocele, Neural Tube Defect, Hydrocephalus, Congenital Malformation

Sogoba, Y. , Kanikomo, D. , Sogoba, B. , Kourouma, D. , Coulibaly, O. , Amadou, I. , Diallo, S. , Mangané, M. , Maiga, H. , Diop, M. , Maiga, B. , Diakité, L. , Traoré, F. , Maiga, Y. , Coulibaly, Y. , Samaké, B. and Diango, D. (2018) Surgical Repair of Encephaloceles in Gabriel Touré Hospital: Review of 17 Cases. Open Journal of Modern Neurosurgery, 8, 375-382. doi: 10.4236/ojmn.2018.84033.